RESUMEN
Treatment for thoracic postherpetic neuralgia can cause penetrating atherosclerotic ulcerations Postherpetic neuralgia is a frequent complication of herpes zoster.It is more common in the elderly population.If the pattern of pain changes especially in the older patients, differential diagnosis is important because the symptoms of some diseases which may be life threatening is similar with that of postherpetic neuralgia.An 83-year-old woman was admitted presenting aggravated pain, dyspnea and poor oral intake during treatment for postherpetic neuralgia involving the left T3 dermatome. She had a previous history of hypertension, congestive heart failure, and pulmonary embolism.Penetrating atherosclerotic ulceration involving the thoracic aorta was diagnosed by CT angiography and her clinical outcome improved through medical treatment.
Asunto(s)
Anciano , Anciano de 80 o más Años , Femenino , Humanos , Angiografía , Aorta Torácica , Diagnóstico Diferencial , Disnea , Insuficiencia Cardíaca , Hipertensión , Neuralgia Posherpética , ÚlceraRESUMEN
Negative pressure induced pulmonary edema due to upper airway obstruction is a well-recognized problem. However, negative pressure pulmonary hemorrhage is extremely uncommon. We report a child who developed negative pressure pulmonary hemorrhage following acute airway obstruction caused by clench of endotracheal tube during emergence of anesthesia. The patient was treated with positive pressure ventilation and frequent tracheal suction. Hemorrhage from endotracheal tube was gradually decreased after 4 hours. The patient was extubated after 7 hours.
Asunto(s)
Niño , Humanos , Obstrucción de las Vías Aéreas , Anestesia , Hemorragia , Respiración con Presión Positiva , Edema Pulmonar , SucciónRESUMEN
Myoclonus is a rare neurologic complication of spinal anesthesia.We describe here a case of spinal segmental myoclonus that we encountered in a 45-year-old woman following spinal anesthesia. Spinal anesthesia was performed using 2.4 section sign cent of 0.5% hyperbaric bupivacaine without any complications and surgery was uneventful.However, myoclonic movements were observed in her lower extremities 2 hours after the intrathecal injection. These movements were ameliorated by intravenous injection of diazepam. The patient fully recovered without any neurologic sequelae.